Radiology Coding Alert

Do not report 76001 with 74230 but SLP can report 92611.

• Which procedure they performed and
• Which aspects your radiologist can report.

Before going ahead it is good to reiterate what guidance CPT® provides for codes 92611 and 74230.

Code 92611: This code “indicates a videofluoroscopic evaluation, which incorporates the use of cine (i.e., motion pictures) or video recording to study the oral cavity, larynx, pharynx, and upper esophagus. Various consistencies of ingestants and maneuvers are tested to determine if the patient can protect his or her airway and swallow adequately to maintain nutrition.”

Code 74230: “Imaging for code 92611 is reported separately by using code 74230 to identify the radiologic supervision and interpretation,” CPT^® states.

Question 1: Which of the following anatomical structure is not assessed as part of modified barium swallow?

a) Nasopharynx

b) Oropharynx

c) Hypopharynx

d) Upper esophagus

Question 2: Which of the following imaging exams are component of modified barium swallow?

a) Anteroposterior film of the esophagus

b) Right anterior oblique including the neck and thorax

c) Left anterior oblique film

d) All of the above

Question 3: Which of the following codes are bundled with 74230 for cineradiography and videoradiography with swallowing function assessment?

a) 74249

b)74240

c) 74230

c) 74220

Question 4: When a speech pathologist participates in modified barium swallow, which of the following codes can he submit?

a) 76001

b) 92611

c) 74230

d)74240

Question 5: Which of the following speech evaluation codes would you not submit when reporting a modified barium swallow?

a) 74230

b) 74240

c) 70731

d) 76001

Editor’s Note: For answers to the quiz, follow on the next issue of Radiology Coding Alert, Vol17n11.